X线钡剂造影检查及CT、MRI、电子胃镜在早期食管癌诊断中的对比研究  

Comparative Studies of Diagnostic Capacities of Radiology、CT、MRI and Esophaguscope in the Early Esophageal Cancer

作　　者：芦春花[1] 陆金云[2] 王学勤[2] 李晓[1] 张文昌[1] 肖新兰[1] 陈暐[1] 

机构地区：[1]江西医学院第二附属医院,330006 [2]江西省儿童医院,330006

出　　处：《实用癌症杂志》2003年第6期641-643,共3页The Practical Journal of Cancer

摘　　要：目的　通过对早期食管癌X线钡剂造影与CT、MRI及内镜检查的对比研究 ,探讨X线钡剂造影对早期食管癌的诊断价值。方法　选择 5 0例患者 ,行X线、CT、MRI和电子胃镜检查 ,总结出早期食管癌的X线特征性表现 ,并对不同影像学技术对早期食管癌的诊断价值进行比较。结果　通过对 5 0例患者的对比研究 ,4种检查方法对早期食管癌检出率分别为 80 .0 %、48.0 %、5 4.0 %和 92 .0 % ,即X线造影及电子胃镜检查优于CT、MRI检查 ,对平坦型病变 ,4种检查方法的检出率分别为 80 .0 %、0、0、60 .0 % ,即在观察细小黏膜改变和动态观察管壁方面X线造影检查有明显优势。结论　X线造影检查在观察黏膜和管壁方面的优势以及无创性的特点 。Objective To compare the diagnostic capacities of conventional radiology?CT?MRI and esophaguscope and to evaluate the diagnostic value of convention radiology in the early esophageal cancer.Methods 50 patients with early esophageal cancer underwent the examination of X-ray?CT?MRI and esophaguscope.Then,we summarized the distinguished features of early esophageal cancer with X-ray examination and compared the diagnostic value of different methods in the early esophageal cancer.Results The results revealed that the diagnostic accuracy of radiology,CT,MRI and esophaguscope were 80.0%?48.0%?54.0% and 92.0%,respectively.It indicated that radiology and esophaguscope were more sensitive than CT and MRI.For flat type cancer,the diagnostic accuracy of the four methods were 80.0%?0?0 and 60.0%,respectively.Therefore,radiology had striking superiority in observing the slight mucous membrane abnormity and helped to observed the duct wall in a dynamic state.Conclusion Radiology is an optimum and harmless examination method for early esophageal cancer with superiorty in observing mucous membrane and duct wall.

关 键 词：X线钡剂造影 CT MRI 电子胃镜 食管癌 诊断 对比研究 

分 类 号：R735.1[医药卫生—肿瘤]